What are the common complications following kidney transplantation that I should be aware of in primary care?
22 Aug 2025View Answer →
clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
How should I monitor renal function and immunosuppressive therapy in a patient post-kidney transplant?
Following a kidney transplant, renal function should be closely monitored through regular measurement of serum creatinine, urea, electrolytes, and es...
22 Aug 2025View Answer →
What are the key pre-operative assessments required for a patient being considered for kidney transplantation?
Key pre-operative assessments for a patient being considered for kidney transplantation include:Comprehensive clinical a...
22 Aug 2025View Answer →
When should I consider referring a patient with keratosis pilaris to a dermatologist?
Consider referring a patient with keratosis pilaris to a dermatologist if:There is diagnostic uncertainty about the skin conditi...
22 Aug 2025View Answer →
How can I differentiate keratosis pilaris from other skin conditions with similar presentations?
Keratosis pilaris (KP) can be differentiated from other skin conditions with similar clinical presentations primarily by its characteristic ...
22 Aug 2025View Answer →
What follow-up care is recommended for patients diagnosed with keratoconus to monitor disease progression?
Follow-up care for patients diagnosed with keratoconus to monitor disease progression involves regular clinical assessments tailored to detect change...
22 Aug 2025View Answer →
When should I consider referring a patient with keratoconus for corneal cross-linking or other surgical interventions?
Consider referring a patient with keratoconus for corneal cross-linking or other surgical interventions when there is evidence of progressive corneal...
22 Aug 2025View Answer →
What are the current guidelines for the management of keratoconus in primary care, including non-surgical options?
Management of keratoconus in primary care primarily involves early recognition and referral to specialist ophthalmology services, as keratoc...
22 Aug 2025View Answer →
How should I approach the referral of a patient with keratoconus for specialist management?
Approach to Referral of a Patient with Keratoconus for Specialist ManagementRefer the patient to an ophthalmologist or corneal specia...
22 Aug 2025View Answer →
What are the key clinical signs and symptoms that suggest a diagnosis of keratoconus in a patient?
Key clinical signs and symptoms suggesting keratoconus include progressive visual deterioration, often presenting as increasing myopia and irregular ...
22 Aug 2025View Answer →
What follow-up care is necessary for patients treated for keratoacanthoma to monitor for recurrence?
Follow-up care for patients treated for keratoacanthoma should include regular clinical examination of the treated site and surrounding skin to monit...
22 Aug 2025View Answer →
What are the recommended referral criteria for a keratoacanthoma to a dermatologist?
Keratoacanthoma referral criteria: Keratoacanthoma is a rapidly growing skin lesion that can resemble squamous cell carcinoma (SCC). The UK ...
22 Aug 2025View Answer →
How should I approach the management of a keratoacanthoma in a patient with a history of skin cancer?
In managing a keratoacanthoma in a patient with a history of skin cancer, the primary approach should be prompt and complete surgical excision with histologi...
22 Aug 2025View Answer →
How should I approach the diagnosis of Kaposi's sarcoma in a patient presenting with skin lesions and a history of HIV?
Approach to Diagnosing Kaposi's Sarcoma in an HIV-Positive Patient with Skin LesionsIn a patient with a history of HIV infection pres...
22 Aug 2025View Answer →
What follow-up protocols should be implemented for patients with a history of treated cerebral aneurysms?
Follow-up protocols for patients with a history of treated cerebral aneurysms should include:Agreeing and documenting a personal...
22 Aug 2025View Answer →
What are the indications for referring a patient with a ruptured cerebral aneurysm to a neurosurgeon?
Indications for referring a patient with a ruptured cerebral aneurysm to a neurosurgeon include:Confirmation of subarachnoid hae...
22 Aug 2025View Answer →
How should I assess the risk of rupture in a patient with an unruptured cerebral aneurysm?
To assess the risk of rupture in a patient with an unruptured cerebral aneurysm, a multidisciplinary team (MDT) including an interventional neuroradiologist ...
22 Aug 2025View Answer →
What are the recommended imaging modalities for diagnosing unruptured cerebral aneurysms in primary care?
In primary care, there are no direct recommendations to perform imaging for diagnosing unruptured cerebral aneurysms. If an unruptured aneurysm is suspected ...
22 Aug 2025View Answer →
What are the guidelines for the choice of corticosteroid and local anesthetic for joint injections?
Current guidelines for selecting corticosteroids and local anesthetics for joint injections:Consider intra-articular corticoster...
22 Aug 2025View Answer →
When should I consider referring a patient for specialist assessment after joint aspiration?
Consider referring a patient for specialist assessment following joint aspiration if:There is suspected persistent synovitis of ...
22 Aug 2025View Answer →